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Contains the active ingredient contain the active ingredient fluoxetine. In children and adolescents aged eight years and over fluoxetine is used to treat: moderate to severe major depressive episodes, if the depression is unresponsive to psychological therapy after four to six sessions. Fluoxetine may also be used in the treatment of bulimia nervosa and obsessive compulsive disorder in adults. Your doctor should carefully discuss the risks and benefits of the medicine with you and your child before treatment is started. The medicine may cause fluoxetine-type side effects or withdrawal symptoms in the newborn baby if used in late pregnancy. The following are some of the side effects that are known to be associated with fluoxetine.

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This medicine can be given in combination with fluoxetine, provided that there are facilities for close observation of symptoms of serotonin syndrome and monitoring of blood pressure. Fluoxetine may increase the blood levels of the following medicines, and for this reason your doctor may prescribe a lower dose of these if you are taking them with fluoxetine, or if you have taken fluoxetine in the previous five weeks: aripiprazole atomoxetine benzodiazepines such as diazepam or alprazolam (if these are taken with fluoxetine there may be an increased chance of drowsiness) carbamazepine clozapine flecainide haloperidol phenytoin tricyclic antidepressants such as imipramine, amitriptyline, clomipramine, desipramine. Fluoxetine may increase the effect of anti-blood-clotting medicines (anticoagulants) such as warfarin, and this may increase the risk of bleeding. Fluoxetine capsules and oral solutions are also available without a brand name, ie as the generic medicine. Fluoxetine does not cause orthostatic hypotension, has no negative effect on the myocardium. Fluoxetine should not be used after the expiration date printed on the box. In the initial stages, they may restrict the weakness and loss of appetite, and pain, nausea, vomiting, dark urine, and other symptoms appear only after a few days. Fluoxetine may cause heart defects or serious lung problems in a newborn if you take the medication during pregnancy.

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The information is not intended to cover all possible uses directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Withdrawal has also been reported with fluvoxamine. Fluoxetine affects neurotransmitters, the chemicals that nerves within the brain use to communicate with each other. Fluoxetine works by preventing the reuptake of one neurotransmitter, serotonin, by nerve cells after it has been released. Some patients may experience withdrawal reactions upon stopping fluoxetine.

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The dose of fluoxetine should be gradually reduced when therapy is discontinued. Patients should be aware of this and continue to take the drug as directed, even if they feel no immediate improvement. Alcohol should not be used while taking fluoxetine. Fluoxetine is often recommended in the cases where other antidepressants turn to be ineffective. Some of them may turn out to be incompatible with fluoxetine. At least two weeks must pass before you may take fluoxetine. Fluoxetine is possible to pass into breast milk and so can do harm to a nursing baby.

When you start thetreatment, your doctor will need to watch you for the first few weeks to makesure you do not get suicidal, buy fluoxetine online no prescription. The drug is prescribed to patients of all ages, and it is one of the few antidepressants that is allowed to take for airline pilots. Reliable estimates of the incidence and severity of untoward experiences involving sexual desire, performance, and satisfaction are difficult to obtain, however, in part because patients and physicians may be reluctant to discuss them. Subsequently, the physician may continue decreasing the dose but at a more gradual rate. Limited evidence is available concerning the longer-term effects of fluoxetine on the development and maturation of children and adolescent patients. Results of a number of published epidemiological studies assessing the risk of fluoxetine exposure during the first trimester of pregnancy have demonstrated inconsistent results.

In addition, fluoxetine treatment was associated with a decrease in alkaline phosphatase levels. In particular, there are no studies that directly evaluate the longer-term effects of fluoxetine on the growth, development and maturation of children and adolescent patients. A lower or less frequent dose of fluoxetine should be used in patients with cirrhosis. Thus, fluoxetine may be administered with or without food. The only identified active metabolite, norfluoxetine, is formed by demethylation of fluoxetine.

R-norfluoxetine is significantly less potent than the parent drug in the inhibition of serotonin uptake. Plasma concentrations of fluoxetine were higher than those predicted by single-dose studies, because fluoxetine’s metabolism is not proportional to dose. This suggests that the use of fluoxetine in patients with liver disease must be approached with caution. However, given the long half-life and nonlinear disposition of the drug, a single-dose study is not adequate to rule out the possibility of altered pharmacokinetics in the elderly, particularly if they have systemic illness or are receiving multiple drugs for concomitant diseases. This effect is reversible after cessation of fluoxetine treatment. Relapse during the double-blind phase was defined as a persistent return to baseline vomiting frequency or physician judgment that the patient had relapsed. If you don't want to use these, delete these lines.

In addition, some stores may have slightly different prices on selected lines. If you chose a very high healthy protein dietary plan, you could consume as much smoked meat as you wish and even combine it with vegatables and carb alternatives. With publications and movies, prozac offered an virtually trendy gloss to mental illness in some individuals's eyes buy prozac online. Gutsyllabary will be extremly aberrantly coiling toward the lackadaisically nidorous roturier.

An impartial pharmacy near by accepts prescription and through-the-counter orders and delivers them discretely to your office. They don't need to pay for rent, employee's fees and also other miscellaneous fees because these pharmacies are online. This makes fluoxetine highly effective in treatment of clinical depression cases where symptoms like depressed mood and lack of energy exist. Fluoxetine hydrochloride can also cause dizziness or drowsiness. These are not all the possible side effects of fluoxetine. You should not drive, operate heavy machinery, or do other dangerous activities until you know how fluoxetine affects you. Because of the possibility for adverse reactions in nursing infants from fluoxetine, a choice should be made whether to stop nursing or to stop use of this medication.

Anyone considering the use of fluoxetine or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Years of development and testing finally led to approval of fluoxetine for marketing. Three randomized, double-blind, placebo-controlled studies showed a decrease in the frequency and severity of migraine headaches with fluoxetine therapy. Because uptake inactivates serotonin by removing it from the synaptic cleft, uptake inhibition by fluoxetine enhances serotonergic function. Fluoxetine does not interact directly with postsynaptic serotonin receptors, muscarinic-cholinergic receptors, histaminergic receptors, or alpha-adrenergic receptors.

The liver then metabolizes fluoxetine into norfluoxetine, a desmethyl metabolite, which is also a serotonin reuptake inhibitor. Fluoxetine versus other types of pharmacotherapy for depression. Possible involvement of cholinergic and opioid receptor mechanisms in fluoxetine mediated antinociception response in streptozotocin-induced diabetic mice. Plasma catecholamine levels after fluoxetine treatment in depressive patients. Fluoxetine for migraine prophylaxis: a double-blind trial. Fluoxetine prophylaxis of migraine. A randomized, double-blind crossover trial of fluoxetine and amitriptyline in the treatment of fibromyalgia.

The fetal safety of fluoxetine: a systematic review and meta-analysis. Fluoxetine attenuates alcohol intake and desire to drink. Fluoxetine monotherapy in attention-deficit/hyperactivity disorder and comorbid non-bipolar mood disorders in children and adolescents. Double-blind trial of fluoxetine: chronic daily headache and migraine. Fluoxetine and premature ejaculation: a double-blind, crossover, placebo-controlled study. Double-blind placebo-controlled trial of fluoxetine in smoking cessation treatment including nicotine patch and cognitive-behavioral group therapy. The effect of fluoxetine in patients with pain and constipation-predominant irritable bowel syndrome: a double-blind randomized-controlled study.

Fluoxetine and fluvoxamine for treatment of chronic pain. Fluoxetine for the treatment of childhood anxiety disorders. The effects of fluoxetine in the overdose patient. Benign course in a child with a massive fluoxetine overdose. Timing of onset of antidepressant response with fluoxetine treatment. Use of fluoxetine in anorexia nervosa before and after weight restoration. These studies indicate that fluoxetine may help to treat depression and obsessive-compulsive disorder in children.